Sedona Smart Meter Awareness - Keeping Sedona Safe One Home & One Business at a Time

CONSUMER RADIATION OCCURRENCE REPORT

ANYONE can submit to the FDA reports of ill health resulting from CONSUMER radiation emitting devices!

FORM-3649 can be filled out by downloading, printing and then sending it to the mailing address
listed on




SELECT  "Microwave Radiation EMF category listed on page 2, "Microwave Communication, Data Transmit, and Measurement Products (Including CB radios, cell phones, walkie-talkies, household remote controllers)" by putting an "X" in the box next to that category.

LIST the health problem(s) experienced, when it/they started, what consumer device caused the health problem and how long the problem has lasted, including whether you went to the hospital or to see the doctor, etc.

MAIL the five (5) page form via USPS (FDA does not accept email or faxes) to, keeping a dated copy of your submission:

US Food and Drug Administration
Center for Devices and Radiological Health
Document Mail Center WO66-G609
10903 New Hampshire Avenue
Silver Spring, MD 20993-0002


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